International Nursing Review最新文献

{"title":"The Great Resignation's Impact on Nursing: A Phenomenological Study","authors":"Jolene Kittle","doi":"10.1111/inr.70046","DOIUrl":"https://doi.org/10.1111/inr.70046","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study is to explore the lived experiences of nurses practicing during and after the phenomenon known as the “Great Resignation” through the lens of the Motivation to Work theory.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Introduction</h3>\u0000 \u0000 <p>The number of workers quitting their jobs since the COVID-19 pandemic reached record highs and this time period is often referred to as the “Great Resignation.” There is a need to understand this phenomenon in nursing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used a transcendental phenomenological design and adhered to the Consolidated Criteria for Reporting Qualitative Research guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The experiences of 18 registered nurses practicing during the “Great Resignation” were summarized in five themes: why I am a nurse, work environment, human needs, autonomy, and COVID.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This study highlights that nurses practicing during the “Great Resignation” have stayed in the profession because of their commitment to their patients. However, increasing workload demands leave them feeling like they no longer can deliver the care their patients deserve. Nurses reported feeling that better resources to support the practice of nursing are needed and that how healthcare is delivered needs to be redesigned.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nurses chose the profession to help people and deliver high quality care. Work environment factors are creating barriers to deliver this care and nurses feel a lack of leadership support, autonomy, appreciation, and value.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Health Policy</h3>\u0000 \u0000 <p>Findings from this study can inform policy surrounding a healthy work environment, retention strategies, and sustainability of the nursing profession.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptance and Readiness of Critical Care Nurses to Use Artificial Intelligence: A Structural Equation Modeling Approach","authors":"Azza Abd Elrazek Baraka,&nbsp;Manal Ali A. Alhijji,&nbsp;Reham Adel I. Alrajeh,&nbsp;Dema Naif B. Alotaibi,&nbsp;Shahad Bukhamis,&nbsp;Norah Adnan M. Alsafraa,&nbsp;Eman Arafa Hassan","doi":"10.1111/inr.70035","DOIUrl":"https://doi.org/10.1111/inr.70035","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aims of this study was to evaluate the acceptance and readiness of critical care nurses to use artificial intelligence (AI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>AI is increasingly incorporated into clinical practice, offering the potential to revolutionize healthcare and significantly impact nursing practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Integration of AI into nursing practice depends on its acceptance and adoption, with the potential to transform health care, improve patients’ outcomes, and support decision-making.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional research design was used to collect data from critical care nurses in general intensive care units of Alexandria University Hospital, Egypt, and King Abdul-Aziz Hospital, Al-Ahsa, Saudi Arabia, from May to July 2024. The minimum sample size was 279. Data were collected from 475 using an electronic Extended Technology Acceptance Model questionnaire. Structural equation modeling was used to analyze the relationships between the seven key constructs, including perceived usefulness, perceived ease of use, perceived risks, external benefits, facilitating conditions, adoption intention, and readiness to use AI. This study adheres to the STROBE checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>More than half of nurses in the study had never used AI. Most of them reported perceived usefulness and readiness for adopting AI. Critical care nurses’ adoption intention has positive influences on their readiness to use AI. Perceived ease of use, perceived usefulness, external benefits, and facilitating conditions can positively impact their readiness and adoption of using AI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study highlights the importance of increasing nurses’ awareness of AI applications in nursing practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implication for nursing and Health Policy</h3>\u0000 \u0000 <p>The integration and adoption of AI into nursing practices will help improve the quality of patients’ care, however, education and training is needed to promote knowledge and understanding of the topic Health policies should mandate a framework to ensure well-trained and confident usage of AI.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144206759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategies to Elevate the Brand Image of Nursing: A Scoping Review","authors":"Ashley Yeo,&nbsp;Shin Syuen Lee,&nbsp;Vivien K. G. Lim,&nbsp;Judi Allyn Godsey,&nbsp;Katherine Kuok,&nbsp;Joko Gunawan,&nbsp;Sok Ying Liaw","doi":"10.1111/inr.70026","DOIUrl":"https://doi.org/10.1111/inr.70026","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To synthesize evidence on strategies to elevate the brand image of nursing.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The shortage of nurses worldwide may reflect a significant disconnect between the essential role of nurses in healthcare and public perceptions of the nursing profession. Negative perceptions and misconceptions contribute to an outdated brand image of nursing. Branding strategies are needed to bridge the gap between the nursing profession's current image as caring helpers and its desired brand position as influential leaders.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This scoping review followed Arksey and O'Malley's five-stage scoping framework. Eight databases were searched from 2000 to 2023 and screened according to the eligibility criteria. Results were reported according to the PRISMA-ScR checklist.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Five themes emerged: &lt;i&gt;profile the desired nursing image&lt;/i&gt;, which emphasizes consistent messaging portraying nursing as an intellectual science-based and diverse profession; &lt;i&gt;foster gender equality&lt;/i&gt;, which focuses on fostering a gender-inclusive workforce; &lt;i&gt;develop nurses as brand ambassadors&lt;/i&gt; who actively advocate for a positive nursing image; &lt;i&gt;increase nurses’ visibility to the public&lt;/i&gt;, which highlights the use of media and public engagement to showcase nurses’ expertise; and &lt;i&gt;create empowering nursing structures&lt;/i&gt;, that foster professional growth and development.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Strategies to elevate nursing's brand include profiling an inclusive image, developing nurse ambassadors, increasing visibility, and implementing empowerment initiatives through professional development and supportive work environments.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for nursing policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Insights from this review can inform policymakers, professional nursing organizations, academia, and healthcare institutions regarding branding strategies. Key strategies include marketing the nursing profession at the micro, meso, and macro levels, leveraging media to influence public perceptions, overcoming gender stereotypes, fostering interprofessional equality, creating supportive work environments, and enhancing professional development opportunities that advance nurses as leaders.&lt;/p&gt;\u0000 &lt;/sec","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144206760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives of physicians, nurses, and patients on the use of artificial intelligence and robotic nurses in healthcare","authors":"Emel Gumus RN, PhD,&nbsp;Handan Alan RN, PhD","doi":"10.1111/inr.70017","DOIUrl":"https://doi.org/10.1111/inr.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to assess the perspectives of physicians, nurses, and patients in Turkey regarding the integration of artificial intelligence (AI) and robotic nurses in healthcare settings while exploring their attitudes toward the use of robots in healthcare delivery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>AI and robotic nurses are increasingly shaping healthcare delivery and influencing clinical decision-making processes. However, research examining the impact of AI and robotic nurses on nursing practice and patient care remains limited. The attitudes of healthcare professionals and patients are crucial factors for the successful integration and adoption of these technologies in clinical settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This qualitative study employed in-depth individual interviews to explore participants' perspectives. The sample consisted of 13 physicians, 17 nurses, and 15 patients, all recruited from university hospitals, Ministry of Health hospitals, and private healthcare facilities across Turkey. Data were collected using two semistructured interview guides with “Healthcare Workersand Patients”. Ethical approval and informed consent were obtained prior to data collection. The collected data were analyzed with content analysis using MAXQDA Pro 2021 software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The qualitative findings were organized into four primary themes: “Impact of AI Technologies on Healthcare,” “Use of AI and Robots,” “Receiving Care from Humanoid Robots,” and “Working with Humanoid Robots.” These themes were further explored through 12 subthemes and corresponding codes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Participants who had not yet interacted directly with AI technologies and relied solely on literature or had limited knowledge about the process generally believed that AI and robotic nurses could positively affect healthcare. However, they expressed concerns regarding the inability of these technologies to replicate the human touch. They specifically highlighted the limitations of robots in areas requiring empathy, emotional connection, and personalized care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and implications for nursing and/or health policy</h3>\u0000 \u0000 <p>This study explored the perspectives of physicians, nurses, and patients regarding AI and ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of Good Death and Death Literacy Levels of Nurses Working in Palliative Care: A Cross-Sectional Study","authors":"Ahmet Seven,&nbsp;Ebru Sönmez Sari,&nbsp;Vahide Semerci","doi":"10.1111/inr.70036","DOIUrl":"https://doi.org/10.1111/inr.70036","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To determine the perceptions of good death and death literacy levels of Turkish nurses working in palliative care services and the factors affecting their perceptions of good death.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Death literacy is defined as the acquisition of the knowledge and skills necessary to understand end-of-life care and contribute to a good death.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;For this cross-sectional study, sample consisted of 162 Turkish nurses working in palliative care services. The data were collected using the Socio-demographic Information Form, Good Death Scale (GDS), and Death Literacy Index (DLI). The data were analyzed by Pearson correlation, independent sample &lt;i&gt;t&lt;/i&gt; test, and one-way ANOVA. Hierarchical regression analysis was performed to determine the predictors of good death perception. The STROBE checklist was used in the study.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Findings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The mean GDS score was 59.53 ± 4.49, and the mean DLI score was 100.70 ± 12.11. It was determined that those who are older, male, married, have worked longer in the clinic, and have knowledge about a good death have higher average scores on the GDS. The models explain 91.8% of the variance in the perception of good death.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Our study shows that as death literacy increases, nurses’ perceptions of a good death tend to decrease. This situation suggests that as nurses’ knowledge and awareness of death increase, the inadequacies of the healthcare system and the impact of limited resources may cause them to develop a more negative perception. Death literacy in nurses is a new concept, and further studies are needed in different cultures.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;In the study, it was observed that death literacy levels and good death perceptions of nurses were above average, and as the death literacy level of nurses increased, their good death perceptions decreased. Age, gender, marital status, working time in the clinic and knowledge about good death affect the perception of good death of nurses working in palliative care.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for nursing&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;By improving their understanding of ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Enablers to Leadership in Advanced Practice Nursing: A Systematic Review","authors":"Rosemary Fosah,&nbsp;Sofia Llahana","doi":"10.1111/inr.70034","DOIUrl":"https://doi.org/10.1111/inr.70034","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To explore the barriers and enablers influencing leadership enactment by advanced practice nurses and assess how these have evolved over the past decade.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nurses in advanced practice roles are well-positioned to drive healthcare change, addressing patient needs and service demands. However, their leadership contributions are often underestimated, with greater emphasis placed on clinical practice and education rather than leadership and research.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A systematic review of cross-sectional studies was conducted using CINAHL, MEDLINE, EMBASE, APA PsycINFO, and Cochrane databases for studies published between January 2015 and March 2024. Fourteen studies involving 5243 participants were narratively synthesised. Study quality was assessed using the Joanna Briggs Institute Critical Appraisal Tool, and findings are reported following Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) 2020 guidelines.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Findings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The review identified 24 barriers and 18 enablers to enacting leadership in advanced practice nursing roles, grouped into eight themes across four structural levels: healthcare system, organisational, team, and individual. Key themes included leadership capacity building, role clarity, development opportunities, resource allocation, and mentorship. Major barriers were unclear roles, limited leadership training, and resource constraints, while enablers included mentorship, leadership programmes, and organisational support.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Despite progress, significant barriers persist in developing leadership capabilities within advanced practice nursing roles, particularly in healthcare systems and organisational levels. Standardised education and training pathways are needed to equip nurses for leadership roles, and further research is required to address these barriers.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for nursing and health policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Strengthening leadership capacity for advanced practitioners in nursing requires sustained institutional support, standardised education, and strategic engagement with policymakers. Maximising their leadership potential can drive healthcare innovation, improve patient outcomes, and ensur","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resilience and Coping Behaviors Among Palestinian Nursing Students During an Internship in Critical Care Units During the 7th of October War","authors":"Basma Salameh,&nbsp;Malakeh Z. Malak,&nbsp;Bahaaeddin Hammad,&nbsp;Anas Shehadeh,&nbsp;Sameer A. Alkubati,&nbsp;Nourah Alsadaan","doi":"10.1111/inr.70025","DOIUrl":"https://doi.org/10.1111/inr.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to examine perceived stress among nursing students during their training in critical care units and its relationship with resilience and coping behaviors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Stress significantly impacts nursing students’ critical thinking and academic performance. The events of the 7th of October 2024 war in Palestine have further exacerbated these challenges, forcing students into virtual learning, limiting clinical access, and increasing academic burdens. Resilience and coping behaviors have emerged as pivotal factors in predicting students’ academic success and well-being, particularly during internship in high-pressure settings like critical care units.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>A cross-sectional study design was employed, involving 352 nursing students at Arab American University during their internships in critical care units. Due to logistical constraints, data were collected through online surveys using the Perceived Stress Scale, the Brief Resilience Scale, and the Coping Behavior Inventory between June and July 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean overall perceived stress score was 1.37 (SD = 0.82), reflecting a moderate level of perceived stress. The most commonly reported source of stress was “stress from peers and daily life” with an average score of 1.50 out of 4.0 (SD = 0.96). Regarding resilience, the mean total score was 3.13 (SD = 0.74), with 59.0% of the students displaying a normal/moderate level of resilience. Problem-solving was the most frequently used coping strategy (M = 2.51, SD = 0.93). A negative correlation was found between perceived stress, resilience, and optimistic coping strategies. A positive association between perceived stress, avoidance, and transference coping strategies. Avoidance coping strategy was the main predictor of stress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and Implications for Nursing and/or Health Policy</h3>\u0000 \u0000 <p>These findings could assist policymakers in recognizing the critical role of resilience and coping behaviors in shaping nursing students’ perceived stress. Strategies and interventions to enhance coping strategies and boost resilience need to be developed and implemented to reduce stress among intern nursing students.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are We Stepping Back? Findings From an Italian Study on Post-Pandemic Changes in Nursing Education","authors":"Erika Bassi,&nbsp;Alberto Dal Molin,&nbsp;Stefania Chiappinotto,&nbsp;Anna Brugnolli,&nbsp;Federica Canzan,&nbsp;Marco Clari,&nbsp;Maria Grazia De Marinis,&nbsp;Valerio Dimonte,&nbsp;Paola Ferri,&nbsp;Loreto Lancia,&nbsp;Roberto Latina,&nbsp;Zeno Gabriele Poli,&nbsp;Teresa Rea,&nbsp;Luisa Saiani,&nbsp;Federico Fonda,&nbsp;Alvisa Palese","doi":"10.1111/inr.70027","DOIUrl":"https://doi.org/10.1111/inr.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To describe (a) recommended changes implemented and their perceived effectiveness at the country level, (b) changes discontinued in the post-pandemic era with reasons, and (c) research priorities in nursing education for the next five years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Introduction</h3>\u0000 \u0000 <p>The COVID-19 pandemic has pushed several nursing education transformations. However, no studies have documented changes still prevalent in the post-pandemic era.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A national cross-sectional study following the STROBE guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>All Italian nursing programs (<i>n</i> = 241) were targeted. Eight major and 21 subrecommendations indicating changes expected were included in the online survey to measure their implementation, their perceived effectiveness and status at the time of the survey, discontinuation reasons, and the research priorities. Descriptive and content analyses were used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>113 (45.5%) nursing programs participated reflecting the education received by &gt;70% of Italian nursing students. All recommended changes have been implemented from 60.2% to 100% nursing programs, resulting in a perceived effectiveness from 4.29 (confidence interval [CI] 95%, 4.07–4.51) to 6.37 (CI 95%, 6.19–6.56) out of 7. A few recommendations were still applied at the time of the survey, while several were discontinued (from 4.8% to 61.9%) because, in order, of concern regarding their effectiveness, university/law dispositions, traditional methods reimplemented, technical/logistic difficulties and students’ requests. Digital solutions’ impact on nursing education was identified as a research priority.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>After the multifaced changes triggered by the pandemic, the pace of transformation of nursing education seems to have been decelerated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing</h3>\u0000 \u0000 <p>The potential regressive pattern that has emerged, wherein the previous model of nursing education is repristinated, calls for immediate action, which is also in line with the research priorities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preparedness of Emergency Room Nurses for Bioterrorism Based on the Health Belief Model: A Multicenter Qualitative Study","authors":"Mi-Kyeong Jeon,&nbsp;Yujeong Kim","doi":"10.1111/inr.70028","DOIUrl":"https://doi.org/10.1111/inr.70028","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore emergency room nurses’ perceptions of preparedness for bioterrorism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In the context of evolving global security threats, including wars, terrorism, and emerging infectious diseases, it is critical to evaluate the bioterrorism response competencies of emergency room nurses and identify strategies to enhance their preparedness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Qualitative data were gathered through focus group interviews with 13 emergency room nurses employed at six regional emergency centers across the country. Data were analyzed using qualitative content analysis, and findings were reported in accordance with the COREQ guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analysis of 537 meaningful statements yielded 38 codes, which were organized into two themes and eight subthemes. The first theme, barriers to bioterrorism preparedness, included subthemes such as “insufficient knowledge and experience related to bioterrorism” and “contrasting thoughts on the possibility of bioterrorism occurring in South Korea.” The second theme, facilitators to bioterrorism preparedness, encompassed subthemes such as “programs to improve one's competencies in dealing with bioterrorism” and “unavoidable sense of responsibility as a nurse.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Despite a lack of established guidelines, knowledge, training, and response systems specific to bioterrorism, emergency room nurses demonstrate a strong sense of professional duty to provide care even in the event of a bioterrorist attack.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Health Policy</h3>\u0000 \u0000 <p>To strengthen bioterrorism preparedness, there is an urgent need to develop human resources, enhance infrastructure, and implement targeted education and training programs for healthcare professionals. Education and training are essential to enhance the competency of emergency room nurses in responding effectively to bioterrorism at all times. The inadequate bioterrorism response systems in emergency centers and the low competency levels of nurses highlight the need for policies aimed at improving bioterrorism response capabilities within the national emergency medical system.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Self-Esteem, Assertiveness, and Professional Competence Among Palestinian Newly Graduated Emergency and Critical Care Nurses","authors":"Malakeh Z. Malak,&nbsp;Ahamd Ayed,&nbsp;Anas Shehadeh,&nbsp;Moath Abu Ejheisheh,&nbsp;Ahmad Batran","doi":"10.1111/inr.70033","DOIUrl":"https://doi.org/10.1111/inr.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to assess the levels of self-esteem, assertiveness, and professional competence among Palestinian newly graduated emergency and critical care nurses and the association between these constructs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurse shortage is a global issue, leading to the employment of newly graduated nurses in high-stress areas like emergency and critical care units. Self-esteem and assertiveness are essential for high-quality nursing care. There is a lack of studies examining the relationships between self-esteem, assertiveness, and professional competence, particularly among newly graduated nurses in Palestine, where unique challenges exist due to political conflicts and resource shortages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional design with a convenience sampling method was used to recruit 170 newly graduated emergency and critical care nurses. Data were collected using Rosenberg's Self-Esteem Scale, the Assertiveness Questionnaire, and the Nurse Professional Competence (NPC) Scale during the period from July to September 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The participants had moderate self-esteem (M = 21.05, SD = 2.36), moderate assertiveness (M = 77.73, SD = 3.06), and high professional competence (M = 67.28, SD = 14.62) levels. Associations were found between professional competence and self-esteem (<i>r</i> = 0.406, <i>p</i> &lt; 0.01), assertiveness (<i>r</i> = 0.353, <i>p</i> &lt; 0.01), age (<i>r</i> = 0.360, <i>p</i> &lt; 0.01), workplace (p.b.r = −0.225, <i>p</i> &lt; 0.01), and intention to leave the profession (p.b.r = 0.152, <i>p</i> &lt; 0.05). The main predictors of professional competence were self-esteem and assertiveness. Emergency newly graduated nurses had higher professional competence, while critical care newly graduated nurses had higher assertiveness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and Implications for Nursing and/or Health Policy</h3>\u0000 \u0000 <p>Policymakers and hospital administrators should prioritize specific strategies and interventions aimed at boosting self-esteem and assertiveness among newly graduated nurses. This focus will directly enhance their professional competence, capability, and retention, enabling them to better maintain a patient safety culture and deliver high-quality care. Furthermore, correlating factors should be considered when developing and implementing these strategies and interventions to ensure maximum effectiveness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144074437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}